Discussion Posts

Due Tuesday 

Discuss the International Council of Nurses, Nurse Practitioner/Advanced Practice Nursing Network plus what is being done to decrease healthcare disparities at the international level. 

Group 1 &2 Scenario: 

Personality disorders are often seen as comorbid with other psychiatric illnesses. Some have a much higher prevalence than others and often complicate the clinical picture. Of all the personality disorders (PD), borderline PD, histrionic PD, antisocial PD, and narcissistic PD are frequently seen and demand the attention of the provider.

Group 1:Due Wednesday

HPI: PF is a 21-year-old college student who presents with suicidal ideation. She has been depressed and despondent for the last three days. One week ago, she was happy and outgoing. She states that she recently told her college professor that she was considering ending her life.  The patient states she often feels like she is alone in the world. Lately, she has been arguing with her new roommate.

Collateral: Her mother reports she has a history of unstable interpersonal relationships, fear of abandonment, and rapid mood changes.

PPH: She describes three prior suicide attempts(Multiple scars are found on her left wrist)

Assessment:    Borderline personality disorder

What is the first-line treatment for BPD?

What can be done from a psychopharmacological perspective? – Consider medication classes and what symptoms are being targeted. 

Discuss the limitations of treatment for borderline personality disorder.

Group 2:Due Tuesday

Discuss the limitations of treatment for antisocial and narcissistic PD and what can be done from a psychopharmacological perspective.

Group 3:Thursday

The list of causes or differential diagnoses of sexual dysfunction is quite extensive, but Gabbard doesn’t go into much detail on this topic.

For this week’s discussion, research potential causes and differential diagnoses of sexual dysfunction and provide a thorough listing of your findings. This will likely include factors in categories like medical, psychiatric, psychosocial, and pharmacotherapy, among other categories.

Also discuss psychiatric medications that are implicated in sexual dysfunction, those that can improve sexual dysfunction, as well as non-psychiatric medications that are used to treat sexual dysfunction